Tuberculosis Miliary

**Tuberculous (miliary) tubercle (granuloma)** is a focal inflammatory infiltrative skin lesion in the form of encapsulated yellowish nodules or papules, usually multiple, associated with non-encapsulated forms of tuberculosis of the intrathoracic cavity. Much less often, the focus of the tuberculous miliary tubercle is defined as a separate process outside of any other form of known tuberculosis, not associated with any pathological process inside the chest.

Tubercles are the most commonly observed form of cutaneous tuberculosis in adults. Papules appear in adulthood and usually remain persistent for a long time. These nodules are usually flat and round in shape. The skin over them is almost always clean and resistant to infection. The tubercles are dangerous because even with a small number of them, relapses of the disease can occur. Women are more likely to experience relapses. Despite the fact that tubercles are more common in southern countries, they can appear in Europe and America after tuberculosis patients migrate there. The favorite localization of the tubercles is the skin of the face, hands, and neck. They account for about 75% of all inflammatory forms of skin tuberculosis. Signs and symptoms of tubercular tuberculosis: Skin inflammatory lesions without pus, having a hard and immobile consistency, vague boundaries. These pimples are located mainly in the epidermis, rarely affecting the dermis. The diameter can vary from a few millimeters to centimeters or millimeters. The shape of these tubercles resembles the shape of raspberry seeds, hence the name tuberculate or miliary. They can be combined with large ulcerative elements. Because the bumps themselves are very soft, the patient can easily puncture them, forming ulcers. Often the rashes are combined with a deterioration in the general condition. In some cases, a systemic reaction in the form of fever and weakness is possible. Microscopically, a cluster of epithelioid cysts is detected in the lesion

Tuberculous miliary tubercle is a chronic inflammatory process in the skin and subcutaneous tissues. It is often caused by tuberculosis, an infectious disease caused by the presence of Koch's bacillus, the bacterium Mycobacterium tuberculosis, in the body. The tubercles are curdled, resemble grains of rice, surrounded by inflamed tissue. They can be single or multiple. Single bumps are often located in areas where the skin is exposed to trauma or infection, such as around wounds or scratches. Multiple bumpy rashes usually occur on the hands, feet, head and neck, as well as in the breast and genital area.

- Bullous impetigo is acute, it is a skin disease, which is characterized by the appearance of blisters on the body. Blisters can occur in both adults and children. Small ulcers form at the site where they break through incorrectly. The skin becomes covered with numerous blisters, sometimes up to two hundred. A weakened body is attacked by pathogenic microorganisms – streptococci. Therefore, the disease can develop as

Tuberculous miliary tubercle (tuberculoma granuloma, tuberculoid granuloma) is a specific focal lesion in the skin and subcutaneous tissue associated with the activity of a specific infection. According to its characteristic morphological characteristics, it is a benign eruptive formation in the form of hard, spherical and sometimes slightly flaky dense nodules of the intradermal type. Unlike erythema nodosum, the tuberculate type of rash is more often characterized by its appearance on any part of the body or limbs; their frequent localization contributes to the spread of infection through the transmission of multiple contact traces - small blisters, papules, elements of the dry variety of tubercles and exudative vesiculopustular rashes. In classic cases, rashes are located symmetrically in children, on the extensor surfaces of various joints, calf muscles, in the perineum between the thighs